Revive Therapeutic Services

LBN: Revive Therapeutic Services
Revive Therapeutic Services is an health care organization with primary practice located at 2205 Woodleaf Rd Apt 7H , Salisbury NC 28147-1181. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Revive Therapeutic Services can be contacted via phone (252) 762-9788, or through Salley, Leandra via phone (252) 762-9788.

Contact Information

Primary practice address
2205 Woodleaf Rd Apt 7H Salisbury NC 28147-1181
Phone: (252) 762-9788
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Salley, Leandra MSW
Phone: (252) 762-9788

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1609330463
LBN Legal business name Revive Therapeutic Services
DBA Doing business as
Authorized official Salley, Leandra MSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2019
Last updated Jan 25th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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